Active NPI
Cook County
- General Acute Care Hospital
- Oak Forest, IL
National Provider Identifier
1689739716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 0001743
- Legal business name
- COOK COUNTY
- Practice address
- 15900 South Cicero Avenue
Oak Forest, IL 60452-4000 - Phone
- (708) 633-3400
- Fax
- (708) 633-3407
- NPI assigned
- Dec 27, 2006
- Organization subpart
- Yes
- Parent organization
- COOK COUNTY
Authorized official
NPPES NPI Registry- Name
- Mr. John Cookinham
- Title
- Chief Financial Officer
- Phone
- (708) 633-3479
Other NPIs on the same Medicare enrollment 29
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Lombard, IL
- NPI 1083871974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000747 | IL | Part B Supplier - Clinic/Group Practice | 2860398088 |
Receives reassigned benefits from 1,783 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Ford Heights, IL; North Riverside, IL; Robbins, IL; Arlington Heights, IL |
National Provider Directory
National Provider Directory- Part of
- Community Triage Center
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0001743 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
15900 South Cicero Avenue
Oak Forest, IL 60452-4000
Mailing address
15900 South Cicero Avenue
Oak Forest, IL 60452-4000
Phone (708) 633-3400
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01617618 | Other | IL | BCBS PHYSICIAN 1500 |
| 0048 | Other | IL | ACUTE HOSPITAL, BCBS |
Other names 1
NPPES NPI Registry- Oak Forest Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2010.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1689739716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO AVENUE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524000",
"telephone_number": "708-633-3400",
"fax_number": "708-633-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO AVENUE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604524000",
"telephone_number": "708-633-3400",
"fax_number": "708-633-3407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOK COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COOK COUNTY",
"enumeration_date": "2006-12-27",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "COOKINHAM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "708-633-3479",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "0001743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHYSICIAN 1500",
"identifier": "01617618",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUTE HOSPITAL, BCBS",
"identifier": "0048",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Forest Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.